ABSTRACT
Background: Breastfeeding is the ideal source of nutrition for first six month of life which is globally recognised. There are various advantages of optimal breastfeeding but still breastfeeding rates in Uttar Pradesh is only 56%. This might be attributed to various social, cultural and economical factors. Since there is limited local data on the knowledge, attitudes and practices of women toward breastfeeding. hence, we planned this study to assess knowledge, attitude and practices (KAP) of mothers regarding breastfeeding and influence of sociodemographic profile on them.Methods: A cross sectional study was conducted on 200 mothers coming to the rural and urban areas of a district with infants between 0-6 months. The data was collected using a predesigned questionnaire based on KAP about breastfeeding. The data was analyzed using (SPSS) version 21.0.Results: Our study shows that regarding knowledge of breastfeeding, in rural group 42% considered colustrum as first breast milk. In contrast in urban group, 63% were aware that it was first breast milk (p=0.003). Regarding practices, 56% of rural women had started breastfeeding within one hour while only 38% of urban women did the same (p=0.011). Regarding attitude, 77% women of urban area agreed regarding goodness of colostrum for health followed by 48% of rural women (p?0.001). Most of the women agreed to the belief that a baby should burp after feeding (94% rural and 91% urban).Conclusions: The Gap between KAP regarding breastfeeding exists in rural and urban setups. So, proper stratgies should be planned depending on socio-demographic profile.
ABSTRACT
Objective: To study local reaction and to ascertain timing of scar formation in infants after BCG vaccination at birth, with and without simultaneous administration of trivalent OPV. Design: Prospective observational study. Setting: Teaching hospital in Lucknow, India. Participants: 152 term neonates born in the hospital and given BCG and OPV 0-dose simultaneously before discharge, within 7 days of birth (Group I) , and 122 infants born at home or in private health facility, not given OPV-0 dose, coming for vaccination within 7 days of age (Group 2). Intervention/Observation: Follow up done at 6 week, 10 week, 14 week and 9 months. Local reaction was recorded at the site of BCG vaccination. Results: Scar formed in ≤14 wks in 51.3% and 89.3% babies in Group 1 and Group 2, respectively following BCG vaccination (P<0.001). At 9 months, scar developed in 93.9% infants in Group I and 94.3% babies in Group II. Abortive reaction and nonreactors were similar in both groups (P>0.05). Conclusions: Simultaneous administration of BCG vaccine with trivalent OPV to term infants in early neonatal period prolongs the time of scar formation but sequence of local reaction is not affected.